Provider Demographics
NPI:1184990939
Name:SARIDEY, RAJA VEERABHADRUDU
Entity type:Individual
Prefix:
First Name:RAJA VEERABHADRUDU
Middle Name:
Last Name:SARIDEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 SOMERSET CT
Mailing Address - Street 2:APT D
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805-2161
Mailing Address - Country:US
Mailing Address - Phone:732-781-6733
Mailing Address - Fax:
Practice Address - Street 1:52 SOMERSET CT
Practice Address - Street 2:APT D
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-2161
Practice Address - Country:US
Practice Address - Phone:732-781-6733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03412000183500000X
PARP445560183500000X
TX51149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist